Insurance planning
Know what to verify before your orthopedic visit.
Insurance questions are easier when they are handled before the appointment. The office can help patients understand what information is needed, but final coverage, authorization, referral, and benefit decisions come from the insurance plan.
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How to prepare
Make the next call easier.
01
Confirm your plan
Have your insurance card ready and ask whether your visit requires a referral, prior authorization, or network confirmation.
02
Bring the right records
Prior notes, X-rays, MRI reports, injection history, therapy notes, and operative reports can reduce delays when authorization is needed.
03
Ask before treatment
Injections, BMAC, PRP, braces, surgery, imaging, and therapy may be handled differently by insurance. Ask what should be checked first.
Before you call
A little preparation prevents a lot of back-and-forth.
Use this checklist before calling or scheduling so the office can route you toward the right visit, records request, or next step.
Can coverage be guaranteed before verification?
No. Coverage depends on your insurance plan, benefits, network rules, referral requirements, and authorization decisions.
Should I call before the visit?
Yes, especially if your plan requires referrals, if you are traveling from another island, or if you are seeking injections or surgery planning.
Do BMAC or PRP injections have different coverage rules?
Often yes. Orthobiologic treatments may have limited coverage, so pricing and coverage should be confirmed before treatment.
Related next steps
Ready to coordinate care?
Call the office with your records, questions, and timing needs.
A good plan starts before the appointment. The office can help you understand what to bring, what to verify, and which visit makes sense.
Online booking in about a minuteHMSA, Medicare & other major plansHonolulu · West Oahu · Hilo · KonaTelehealth for neighbor islands
